{% include 'header.html' %}
<div class="container">
    <div class="jumbotron">
        <h1>你好，{{ session['user_name'] }}，请对在用医用耗材进行评分!</h1></br>
        <h2>评分规则：满分100分             </h2></br>
        <h3>请填写您的姓名、科室，并在产品名称下填写具体的得分数字后点击提交按钮！             </h3></br>
        <form action="/submit_grade" method="post">
            <div class="form-group">
                <label for="exampleInputName">请输入姓名</label>
                <input type="text" name='name' class="form-control" id="exampleInputName"
                       aria-describedby="nameHelp">

            </div>
            <div class="form-group">
                <label for="exampleInputshijian" >时间</label>
                <input type="text" name='shijian' class="form-control" id="exampleInputshijian">

            </div>
            <div class="form-group">
                <label for="exampleInputkeshi">科室</label>
                <input type="text" name='keshi' class="form-control" id="exampleInputkeshi">

            </div>
            <div class="form-group">
                <label for="exampleInputlzz">留置针</label>
                <input type="text" name='lzz' class="form-control" id="exampleInputlzz">

            </div>
            <div class="form-group">
                <label for="exampleInputsyq">输液器</label>
                <input type="text" name='syq' class="form-control" id="exampleInputsyq">

            </div>
            <div class="form-group">
                <label for="exampleInputxyg">吸氧管</label>
                <input type="text" name='xyg' class="form-control" id="exampleInputxyg">
            </div>
            <div class="form-group">
                <label for="exampleInputsyjt">输液接头</label>
                <input type="text" name='syjt' class="form-control" id="exampleInputsyjt">
            </div>
            <div class="form-group">
                <label for="exampleInputtmfl">透明敷料</label>
                <input type="text" name='tmfl' class="form-control" id="exampleInputtmfl">
            </div><div class="form-group">
                <label for="exampleInputxddj">心电电极</label>
                <input type="text" name='xddj' class="form-control" id="exampleInputxddj">
            </div>
            <div class="form-group">
                <label for="exampleInputjypwq">简易喷雾器</label>
                <input type="text" name='jypwq' class="form-control" id="exampleInputjypwq">
            </div>





            <button type="submit" class="btn btn-primary">提交</button>
        </form>
    </div>

</div>
{% include 'footer.html' %}






